Question

A 58-year-old with newly diagnosed type 2 diabetes (A1c 8.4%, eGFR 70) and no ASCVD asks about goals. Which is the most appropriate initial plan?

Accepted Answer

Start metformin and target A1c <7% for most adults

Answer

Aim A1c ≤6.0% using basal-bolus insulin

Answer

Start sulfonylurea monotherapy; A1c goal <8.5%

Answer

No medications; lifestyle alone until A1c >9%

Answer

Delay therapy until microalbuminuria appears

Practice question

A 58-year-old with newly diagnosed type 2 diabetes (A1c 8.4%, eGFR 70) and no ASCVD asks about goals. Which is the most appropriate initial plan?